Authorization Specialist University of Pittsburgh Medical CenterAuthorization SpecialistPittsburgh, PAUtilizes payor-specific approved criteria or state laws and regulations to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and drugs in terms of type, frequency, extent, site and duration, and considered effective for the patient's illness, injury, or disease. Works collaboratively with internal and external contacts specifically, Physician Services and Hospital Division, across UPMC as well as payors to enhance customer satisfaction and process compliance, ensuring the seamless coordination of work and to avoid a negative financial impact.
Authorization Specialist- Pediatric Cardiology, Children's University of Pittsburgh Medical CenterAuthorization Specialist- Pediatric Cardiology, Children'sPittsburgh, PABachelor's degree (B.A preferred Completion of a medical terminology course (or equivalent required Skills Required: Knowledge and interpretation of medical terminology, ICD-9, and CPT codesMust be proficient in Microsoft Office applications Excellent communication and interpersonal skillsAbility to analyze data and use independent judgmentSkills Preferred: Understanding of authorization processes, insurance guidelines, third party payors, and reimbursement practicesExperience utilizing a web-based computerized system. 2. Utilizes payor-specific approved criteria or state laws and regulations to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and drugs in terms of type, frequency, extent, site and duration, and considered effective for the patient's illness, injury, or disease.
Multi-Line Representative - State Farm Agent Team Member Britney Hollick - State Farm AgentMulti-Line Representative - State Farm Agent Team MemberWashington, PAFull timeProspect and engage potential customers through leads, phone outreach, email, community networking, and/or in-person interactions. You’re motivated by goals and growth, and you know how to turn needs-based conversations into confident buying decisions that truly help customers.
NewInsurance Underwriter Diedre Moire Corp.Insurance UnderwriterPittsburgh, PA$100,000–$300,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Underwriter Specialty Program Excess Surplus Commercial Lines Program Underwriter #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Seeking individual with extensive underwriting and program management experience within Excess & Surplus lines for Transportation, Cargo or Logistics to lead small program team.
CDL-A Dry Van Lease Purchase Driver - $3,600 to $8,200 per week in Avella, PA K1 TRANSFREIGHT INCCDL-A Dry Van Lease Purchase Driver - $3,600 to $8,200 per week in Avella, PAAvella, PA$3,600–$8,200Reefer new - $600/week (Normal wear and tear included: tires, brakes, leaks, engine, oil change, electrical problems). -REEFER - $525/week (Normal wear and tear included: tires, brakes, leaks, engine, oil change, electrical problems).
CDL-A Flatbed Lease Purchase Driver - $3,600 to $8,200 per week in Daisytown, PA K1 TRANSFREIGHT INCCDL-A Flatbed Lease Purchase Driver - $3,600 to $8,200 per week in Daisytown, PADaisytown, PA$3,600–$8,200Reefer new - $600/week (Normal wear and tear included: tires, brakes, leaks, engine, oil change, electrical problems). -REEFER - $525/week (Normal wear and tear included: tires, brakes, leaks, engine, oil change, electrical problems).
CDL-A Refrigerated Lease Purchase Driver - $3,600 to $8,200 per week in Chester, WV K1 TRANSFREIGHT INCCDL-A Refrigerated Lease Purchase Driver - $3,600 to $8,200 per week in Chester, WVChester, WV$3,600–$8,200Reefer new - $600/week (Normal wear and tear included: tires, brakes, leaks, engine, oil change, electrical problems). -REEFER - $525/week (Normal wear and tear included: tires, brakes, leaks, engine, oil change, electrical problems).
CDL-A Dry Van Lease Purchase Driver - $3,600 to $8,200 per week in Chester, WV K1 TRANSFREIGHT INCCDL-A Dry Van Lease Purchase Driver - $3,600 to $8,200 per week in Chester, WVChester, WV$3,600–$8,200Reefer new - $600/week (Normal wear and tear included: tires, brakes, leaks, engine, oil change, electrical problems). -REEFER - $525/week (Normal wear and tear included: tires, brakes, leaks, engine, oil change, electrical problems).
NewService Manager Sunbelt RentalsService ManagerWashington, PA$64,790–$76,938.60 / yearReporting to include: - Equipment due for service - Fleet status Reporting - Equipment Service Record Reporting - Open work order report - Warranty claim summary report - Inventory management - Parts & merchandise detail reporting - Financial and historical trending - Service department financial summary - Shop foreman performance tool - Work order chargeback - Halt report - Open PO report - Tech paid hours vs. Sunbelt offers team members the following paid time off from work, subject to Sunbelt's policies (unless specified in a collective bargaining agreement): 12-25 vacation days depending on years of service.
NewLine Cook - Team Member Chili'sLine Cook - Team MemberGreensburg, PASince then, we've boldly claimed our place in the casual dining industry as the place to go for Big Mouth burgers, house smoked ribs, full on fajitas, and hand shaken margaritas! Our Kitchen, or as we like to say at Chili's our Heart of House, Team Members are responsible for setting the pace for a great shift, every shift.
Independent Insurance Claims Adjuster in Bethel Park, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Bethel Park, PennsylvaniaBethel Park, PennsylvaniaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Jeannette, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Jeannette, PennsylvaniaJeannette, PennsylvaniaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Field Claims Representative Solera Holdings LLCField Claims RepresentativePAOur 6,500 team members foster an uncommon, innovative culture and are dedicated to successfully bringing the future to bear today through cognitive answers, insights, algorithms and automation. Strong problem solving, project management skills while maintaining excellent customer service with client policyholder and insurance company claim staff.
Claims Prevention Coordinator- Operations Pitt OhioClaims Prevention Coordinator- OperationsCheswick, PennsylvaniaFull timeFrequent movement and sedentary work required – may be required daily to lift up to 25 pounds or exert up to 10 pounds of force to lift, carry, push, pull or otherwise move objects including the human body in a sustained motion; walking is frequently required for sustained periods of time. These include, but are not limited to, calls regarding shortages and damages, problem calls from drivers, pick up calls, tracing, proof of delivery (POD's), rates, and claims issues.
Pharmacy Benefits /Insurance Claims Specialist | Onsite- Pittsburgh Blink Health Management LLCPharmacy Benefits /Insurance Claims Specialist | Onsite- PittsburghPittsburgh, PAOur two primary products - BlinkRx and Quick Save - remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for patients. Company Overview: Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody.
Field Claims Representative - Pittsburgh Acuity, A Mutual Insurance CompanyField Claims Representative - PittsburghPittsburgh, PA$75,000–$150,000 / yearThe representative evaluates liability, exposure, subrogation potential and arrange for the disposition of claims through settlement or denial, including litigation. If you have a disability and require reasonable accommodations to apply or during the interview process, including for in-person interviews, please contact our Talent Acquisition team at careers@acuity.com.
Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerPittsburgh, PA$99,000–$232,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.
Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistPittsburgh, PennsylvaniaSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Manager - Risk Management (Claims) WESCOManager - Risk Management (Claims)Pittsburgh, PAYou will partner with carriers, third-party administrators (TPAs), brokers, legal counsel, and internal stakeholders to manage complex claims, support litigation and settlement strategies, represent the company in mediations and other claim proceedings, and drive continuous improvement in claims handling practices. You will manage the Workers' Compensation Analyst, Risk Management (Claims) and serve as Wesco's primary point of contact for claim-related matters, ensuring timely, accurate, and cost-effective claim resolution while maintaining compliance with company policies and regulatory requirements.
QA Associate | Claims Associate Integrated Resources, IncQA Associate | Claims AssociatePittsburgh, PAPerforms and documents results of all quality assurance evaluations on all operational products and services, including (but not limited to) benefit verification cases, patient assistance cases, software support calls/emails, inbound calls from patients or health care providers, data entry, etc. The Operations Quality Assurance Associate I will be a subject matter expert for their respective assigned business unit(s) and will utilize analytical skills to analyze data, processes, and workflows to provide insightful, actionable coaching for the Operations Agents.